Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.48 / $403.22 / $403.22	Facility		$25.48	$403.22	$403.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.16 / $25.48 / $25.48	Professional		$18.16	$25.48	$25.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.18 / $54.18 / $54.18	Facility		$54.18	$54.18	$54.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.39 / $49.61 / $62.02	Professional		$31.39	$49.61	$62.02
Medica Facility/Professional Facility Modifier Low / Median / High Price $25.58 / $30.69 / $170.77	Facility		$25.58	$30.69	$170.77
Medica Facility/Professional Professional Modifier Low / Median / High Price $13.83 / $24.40 / $40.67	Professional		$13.83	$24.40	$40.67
Midlands Facility/Professional Facility Modifier Low / Median / High Price $32.53 / $49.57 / $55.35	Facility		$32.53	$49.57	$55.35
Midlands Facility/Professional Professional Modifier Low / Median / High Price $32.56 / $55.35 / $70.76	Professional		$32.56	$55.35	$70.76
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $27.11 / $65.31 / $74.48	Professional		$27.11	$65.31	$74.48
United Facility/Professional Professional Modifier Low / Median / High Price $11.39 / $16.27 / $32.53	Professional		$11.39	$16.27	$32.53
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $27.11 / $27.11 / $27.11	Professional		$27.11	$27.11	$27.11